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Organization
BOULDER MEDICAL CENTER, PC
Active
Organization
BOULDER MEDICAL CENTER, PC
Active
Other names
Boulder Medical Center ASC
Organization subpart
No
Provider details
NPI number
Authorized official
CASANDRA RICHARDS (CREDENTIALING COORDINATOR)
(303) 440-3076
Entity
Organization
Contact information
Practice address
2750 BROADWAY ST, BOULDER, CO 80304-3573
(303) 440-3000
Mailing address
2750 BROADWAY ST, BOULDER, CO 80304-3573
(303) 440-3000
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
160365
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160365
STATE LICENSE AS AMBULATORY SURGICAL CENTER
CO
Enumeration date
08/05/2008
Last updated
04/29/2026
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